Pictures Events Courses Registration Confirmation Results
Voluntary Weather Links Sponsors
          Language version

 

June 19th, 2010

Fill out entry form, print and send by mail

Triathlon 1/23/7,7 individual $60
Triathlon 1/23/7,7 team $90
Duathlon 2/23/7,7 individual $60
Duathlon 2/23/7,7 team $80
TRIATHLON QUEBEC ADDITIONAL NON-MEMBER FEES: INDIVIDUAL TRIATHLON - DUATHLON +10$
TRIATHLON QUEBEC ADDITIONAL FEES:
TEAM TRIATHLON +15$
TRIATHLON QUEBEC ADDITIONAL FEES: TEAM DUATHLON +10$
Last Name:
First Name:
Address:
City:
Province :
Postal Code:
  
Country :
Phone:
 ( ) - -
Email:
Birthday :
Year   Month   Day
Age on december 31st :

  years 

Sex :
 Man
Woman
T-shirt :
# Membre Triathlon Québec :
Fédération :
Credit card
(Visa and Mastercard):
 - - -   Exp:  /  (MM/YY)
+ Fees 5$ Visa and Mastercard
Total:
  
Team Section only
Team's name:
Select a category :
Men Women Mixed
   
Swimmer:
Swimmer t-shirt:
Cyclist:
Cyclist t-shirt:
Runner:
Runner t-shirt:
  • Option 1:
    Send by fax with Visa or Mastercard # to (450) 227-3578
    (add 5$ to entry)
  • Option 2:
    Send by mail with cheque to:
    SporTriple 1139, chemin de la Paix Saint-Sauveur Qc. JOR 1R2

 
 

top